General dentistry最新文献

{"title":"Ovoid radiopacity and Palatal swelling.","authors":"Tanya M Gibson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"78-80"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implant treatment planning using digital custom abutments.","authors":"Carsen McDaniel, Andrew S Ryser, Steven E Handel, Jennifer V Sabol, Thomas M Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ideal implant positioning sets up the implant for long-term biologic and prosthetic success. Malpositioned implants can lead to adjunctive treatment that not only increases time and costs but also can put implants at an increased risk for peri-implantitis, compromise the prosthetic restorability, and negatively affect esthetics. This article describes a novel technique for digital planning to ensure ideal implant positioning and to determine if adjunct treatment is needed prior to implant placement.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An unusual presentation of a traumatic bone cyst: a mixed-density variant in the mandibular ramus.","authors":"Archna Nagpal, Rama Zouabi, Aditya Tadinada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A traumatic bone cyst is a pseudocyst, lacking an epithelial lining, and may contain fluid, connective tissue, or both. The pathogenesis of traumatic bone cyst remains unknown, but the most accepted explanation is the traumatic hemorrhagic theory. A traumatic bone cyst typically presents as a radiolucent lesion. However, it can pose both diagnostic and therapeutic challenges when it manifests as a mixed entity in an unusual location. The present report describes an exceptional case of a mixed-density traumatic bone cyst involving the mandibular ramus and coronoid process of an 18-year-old man. Such lesions may present a challenge for accurate diagnosis and appropriate management. Traumatic bone cyst should be included in the differential diagnosis of mixed-density lesions, particularly because the treatment of traumatic bone cysts is more conservative than that of other odontogenic and nonodontogenic jaw lesions.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary syphilis of the floor of the mouth masquerading as squamous cell carcinoma: a case report.","authors":"Zaid H Khoury, John K Brooks, Shevonne A Chude, Kathleen M Beckum, Ahmed S Sultan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this article is to extend the knowledge of an unusual presentation of oral syphilis. A 62-year-old man sought evaluation for a severely painful, deeply ulcerated lesion on the floor of the mouth. Two previous oral biopsies revealed nonspecific ulceration with inflammation. Despite these inconclusive results, a head and neck surgeon had advocated resection of the floor of the mouth due to a high suspicion for malignancy. One month after the outbreak of the oral ulceration, the patient developed a widespread cutaneous rash. Cutaneous biopsy and serologic studies confirmed a diagnosis of syphilis. The patient was subsequently treated with a 30-day regimen of oral doxycycline due to a penicillin allergy. At a 3-week follow-up, there was nearly complete resolution of the oral and cutaneous lesions. Early recognition and establishment of a correct diagnosis of syphilis may lead to timely pharmaceutical intervention, avoidance of unnecessary surgical intervention, improved patient outcomes, and reduction of disease transmission.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathophysiology of referred pain in dentistry: a case report.","authors":"Wilson Daniel Bravo Torres, Danny Alexander Abril Pesántez, Alex Raúl Zhinin González","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article presents the clinical case of a 42-year-old woman with chronic pain in her left temporomandibular joint (TMJ) and limited mouth opening. The patient also reported anxiety and difficulty sleeping. Cone beam computed tomography revealed impacted maxillary third molars and hypertrophy of the nasal turbinates. An auriculotemporal nerve block performed with 2% lidocaine decreased the pain but did not eliminate it, suggesting that the TMJ was not the primary source of the patient's pain. At a follow-up appointment 24 hours after the nerve block, infiltration anesthesia was administered via a simple buccal injection at the level of the impacted left third molar. The infiltration anesthesia completely eliminated the TMJ pain, indicating that the patient was experiencing referred pain (also known as heterotopic pain). The patient's anxiety and disordered sleep (possibly the result of hypopnea arising from hypertrophic nasal turbinates) could have produced a central hypersensitivity that initiated or exacerbated the referred pain. The patient was advised to consult an otorhinolaryngologist to evaluate her respiratory and sleep problems and a psychiatrist to evaluate her anxiety state. In addition, extraction of the third molars and continued dental follow-up were proposed. Dentists may encounter patients with chronic referred pain in daily practice. Additional research is needed to better understand the mechanisms of referred pain and contributory psychological factors, which would allow dentists to identify and apply the best treatment strategies for these patients.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and treatment of cemental tear: a case series.","authors":"Reji Mathew, Valeria Estrella, Jingyuan Fan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cemental tear, characterized by the separation of the cementum from the root surface of a tooth, is commonly observed in patients with localized periodontitis, particularly those with a complex medical history resulting in significant periodontal damage. This condition complicates both diagnosis and treatment, and cone beam computed tomography (CBCT) is a valuable tool for assessing the extent of damage and guiding treatment decisions. This report presents 3 clinical cases of cemental tear. Detailed radiographs and CBCT scans were used to determine the position and size of the lesion, providing guidance for surgical intervention, followed by histopathologic evaluation if the tissue sample was adequate for proper diagnosis. Case 1 involved a 78-year-old woman with swelling around the mandibular left central incisor (tooth 24). The CBCT images revealed no fractures. Debridement and flap surgery were performed, and the symptoms resolved. Case 2 involved a 68-year-old woman who presented with pain and mobility of the mandibular right second premolar (tooth 29), which had previously undergone endodontic treatment. The CBCT images confirmed a cemental tear. Treatment included flap elevation, removal of granulation tissue, and application of enamel matrix derivative, which alleviated the symptoms. Case 3 involved an 82-year-old woman with swelling and mobility of the maxillary right first premolar (tooth 5). The CBCT images revealed extensive bone loss. Flap elevation, removal of granulation tissue, and application of enamel matrix derivative resulted in significant healing. In all of these cases, the size and position of the cemental tears were evaluated by CBCT, facilitating timely intervention that is essential for preventing periodontal tissue damage, enhancing treatment effectiveness, and improving tooth survival rates.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of pregnant women and healthcare professionals regarding oral health during pregnancy: a data mining analysis.","authors":"Mayara Costa Motta, Marcia Barcelos Gomes, Mariana Leonel Martins, Andréa Fonseca-Gonçalves","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review reports on the knowledge of pregnant women and healthcare professionals regarding oral health during pregnancy (OHP) through a data mining analysis of the literature. Searches were conducted in 6 electronic databases to select observational and interventional studies that assessed the knowledge of pregnant women and healthcare professionals regarding OHP. The collected data included the year and country of publication, data collection instrument, study type, participants, knowledge level, and factors associated with knowledge. A total of 85 studies published from 1984 to 2023 were included in the analysis, 53 (62.3%) of which were issued in the last decade. The highest number of publications originated from Brazil (n = 24; 28.2%). Questionnaires alone (n = 68; 80.0%) and observational studies (n = 80; 94.1%) were the most frequent instrument and type of study, respectively. In almost half of the studies (n = 42; 49.4%), the participants were pregnant women; other frequently studied groups were dentists (n = 19; 22.3%), gynecologists/obstetricians (n = 14; 16.4%), and midwives (n = 13; 15.3%). In 29 (76.3%) observational studies, the knowledge of pregnant women was poor. Some observational studies of dentists found that they had good (6/19; 31.6%) or moderate (2/19; 10.5%) knowledge of the subject, but more than half (11/19; 57.9%) indicated that dentists had poor knowledge. Most studies reported that gynecologists/obstetricians (10/14; 71.4%) and midwives (n = 10/12; 83.3%) demonstrated poor knowledge. However, 4 of 5 interventional studies (80.0%) found an improvement in the OHP knowledge of pregnant women (3/4; 75.0%) or midwives (1/1; 100.0%) after health education measures. Lower education level, lower income, and infrequent dental visits were associated with less knowledge of OHP among pregnant women. Longer practice duration, ongoing oral health education, and higher academic qualifications were associated with greater knowledge of OHP among professionals. Studies suggest that pregnant women and healthcare professionals have limited knowledge of OHP but demonstrate increased awareness after education interventions.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"24-33"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esthetic planning for the correction of dental morphology: a case report.","authors":"Jefferson Pires da Silva Júnior, Renata Cristófori Vilas Bôas, Rafael Pinto de Mendonça, Cauã Santiago Figueiredo, Letícia de Miguel Nazario, Eduardo Bresciani, Sérgio Eduardo de Paiva Gonçalves","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The search for restorative procedures that deliver smile harmony is increasingly common in restorative dentistry. Composite resin is a conservative restorative material that can be used as an additive treatment, correcting dental contours and offering a close optical match to the substrate. This report describes a case of composite resin recontouring in which the morphology of the anterior teeth was corrected through the closure of diastemas, enabling conservative restoration of harmony in the patient's smile. A 25-year-old woman sought care because she was dissatisfied with the esthetics of her smile. The extraoral examination revealed a mesofacial profile and proportionate distribution of the facial thirds. The intraoral examination revealed the presence of multiple diastemas in the region of the maxillary incisors. The treatment plan was developed to prioritize minimally invasive interventions, including in-office dental whitening and additive recontouring with direct composite resin restorations on all of the maxillary incisors and canines. After the dental whitening stage, a diagnostic and functional restorative wax-up was fabricated and used to create a smile design that followed the principles of the golden proportion. The patient approved the mock-up, and the restorative sequence was performed using a palatal guide. Composite resin was added only in the areas necessary to close the diastemas. The successful esthetic and functional results in this patient suggest that strategic contouring to close interdental spaces is a viable and conservative solution for restoring smile harmony without dental overcontouring, thereby contributing to the health of periodontal tissues.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esthetic treatment of molar-incisor hypomineralization with a combination of minimally invasive and restorative procedures: a case report.","authors":"Carolina Alves Andrade, Danielle Lieda Cunha Fróes, Flávia Barroso Castelani, Adriana de Oliveira Silva, Márcio Grama Hoeppner, Eloísa Helena Aranda Garcia de Souza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Molar-incisor hypomineralization (MIH) is a qualitative enamel alteration that asymmetrically affects the first molars and may also affect permanent incisors, clinically presenting as demarcated opacities with white, yellow, or brown discoloration. This condition can lead to increased risk of caries, esthetic impairment, fractures, and tooth loss. The aim of this case report is to describe the implementation of an esthetic treatment involving dental bleaching, resin infiltration (RI), and composite resin restoration for a patient with MIH. A 26-year-old woman presented with yellow and brown stains and structural loss in the maxillary right lateral incisor (tooth 7) and left central incisor (tooth 9); yellowish stains on the buccal surface of the mandibular left first molar (tooth 19) and maxillary right first molar (tooth 3); tooth loss of the maxillary left first molar (tooth 14); a full-metal crown on the mandibular right first molar (tooth 30); and milky white stains on the mandibular central incisors (teeth 24 and 25) and maxillary left lateral incisor (tooth 10). Additionally, maxillary hypoplasia and crowding were present. The treatment comprised at-home dental bleaching with 10% carbamide peroxide for 4 weeks, followed by RI of teeth 24, 25, and 26 (mandibular right lateral incisor) using the Icon resin infiltration system and composite resin restoration of teeth 7 and 9. The combination of dental bleaching, RI, and composite resin restorations proved to be effective in improving esthetics and consequently the quality of life for this patient with staining and minor structural loss caused by MIH.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention of common issues with overdentures and all-on-X hybrids: lessons learned from 30 years of implant prosthetics, part 2.","authors":"Samuel M Strong","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}